Gerald Paul Thornberry JR., PA-C

NPI #1942949136 in Kettering, Ohio

Provider Information

NPI Number
1942949136
Entity Type
Individual
Name
Gerald Paul Thornberry JR., PA-C
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Physician Assistant
Credential
PA-C
Enumeration Date
Jun 3, 2022
Last Updated
Jul 29, 2022

Practice Location

Address
3535 SOUTHERN BLVD
State
Ohio
ZIP Code
45429-1221
Phone
(937) 395-8166

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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